Form LTL-VET "Resident Disabled Veteran Lifetime License Application - Hunting, Freshwater Fishing, and/or Trapping, and Disabled Saltwater Fishing" - Virginia

What Is Form LTL-VET?

This is a legal form that was released by the Virginia Department of Wildlife Resources - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Virginia Department of Wildlife Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form LTL-VET by clicking the link below or browse more documents and templates provided by the Virginia Department of Wildlife Resources.

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Download Form LTL-VET "Resident Disabled Veteran Lifetime License Application - Hunting, Freshwater Fishing, and/or Trapping, and Disabled Saltwater Fishing" - Virginia

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D
G
I
F
EPARTMENT OF
AME AND
NLAND
ISHERIES
L
L
S
IFETIME
ICENSE
ALES
P.O. B
2978
OX
H
, VA 23228-9700
ENRICO
866-721-6911
(Hearing impaired call TDD# 804-367-1278)
Commonwealth of Virginia
Resident Disabled Veteran Application Lifetime License
Hunting, Freshwater Fishing, and/or Trapping, and Disabled Saltwater Fishing
§ 29.1-302. Special license for certain resident disabled veterans: ‘Any resident veteran who is totally and permanently disabled due to a
service-connected disability...may apply for and receive from the Department a nontransferable license, valid for life, permitting the
veteran to hunt and fish on any property in the Commonwealth according to restrictions and regulations of law…’
Instructions on page 2 (Allow up to 45 days for processing your application request)
All fields with an asterisk * are required below:
DGIF Customer ID#: __________________________________
*Applicant’s Name: _______________________________________________________________
*Gender:
Male
Female
(Please Print)
First
Middle Initial
Last Name
*State Issued Driver’s or Identification number last 4 digits: ______________
*Last 4 digits of Social Security No: ______________
*Telephone
(Cell, Home, Work, Other)
Date of Birth
: __________- ___________-_____________
*
: ________/________/____________
*Mailing Address: _______________________________________________________________________________________________
*City: ____________________________________________________State: ________________Zip: _____________+ ____________
*Physical Address (if different from Mailing): _________________________________________________________________________
E-mail Address: _________________________________________________________________________________________________
Please check the license(s) you are applying for:
*Hunting License Qualification: Must complete to qualify for a Hunting license:
I have a Hunter Education Certificate – Provide Certificate State and Number: _______________________________________
I have previously been issued a hunting license after the age of 18.
Price
Select below available Veteran Lifetime Licenses:
$ 0.00 FRESHWATER FISHING
(Trout license required in addition to this license if fishing in trout stocked waters)
$ 0.00 *HUNTING
(See above qualification requirements)
$15.00 TRAPPING
$10.00 SALTWATER FISHING
(If you are 65 and over the price is only $5.00 for the lifetime saltwater license)
$10.00 Upgrade your paper lifetime license to Hard Durable Plastic card w/design
$____.__ Contribute to Hunters for the Hungry:
$ 2.00
$ 5.00
$ 10.00
$ 20.00
$ 50.00
$__________.____
TOTAL AMOUNT DUE
The Resident Disabled Veteran’s Lifetime Hunting License is equivalent to the State Resident Hunting License, and includes
Archery, Muzzleloader and the Bear, Deer and Turkey licenses.
A Trout license, National Forest permit, County Damage Stamp and other licenses or permits are required IN ADDITION TO THIS
LICENSE if you participate in these activities.
A Saltwater Fishing license is NOT required for persons age 65 and older: If 65 or older and do not possess a valid Virginia saltwater
license, a no cost Fisherman Identification Program (FIP) registration is required: Please visit http://www.mrc.virginia.gov.
For further question about the FIP program please call (757) 247-2200.
Applicant’s Certification
By signing this application, I certify that the above information is true and correct and that I have a total and permanent disability that is
service connected as defined by the U.S. Department of Veterans Affairs. Any person who knowingly makes a false statement in order to
secure a license shall be guilty of a Class 2 misdemeanor, punishable by up to six months in jail, a fine of up to $1,000 or both.
Signature
Date
: _____________________________________________________________
: ________________________________
LTL-VET-0818
Page 1 of 2
D
G
I
F
EPARTMENT OF
AME AND
NLAND
ISHERIES
L
L
S
IFETIME
ICENSE
ALES
P.O. B
2978
OX
H
, VA 23228-9700
ENRICO
866-721-6911
(Hearing impaired call TDD# 804-367-1278)
Commonwealth of Virginia
Resident Disabled Veteran Application Lifetime License
Hunting, Freshwater Fishing, and/or Trapping, and Disabled Saltwater Fishing
§ 29.1-302. Special license for certain resident disabled veterans: ‘Any resident veteran who is totally and permanently disabled due to a
service-connected disability...may apply for and receive from the Department a nontransferable license, valid for life, permitting the
veteran to hunt and fish on any property in the Commonwealth according to restrictions and regulations of law…’
Instructions on page 2 (Allow up to 45 days for processing your application request)
All fields with an asterisk * are required below:
DGIF Customer ID#: __________________________________
*Applicant’s Name: _______________________________________________________________
*Gender:
Male
Female
(Please Print)
First
Middle Initial
Last Name
*State Issued Driver’s or Identification number last 4 digits: ______________
*Last 4 digits of Social Security No: ______________
*Telephone
(Cell, Home, Work, Other)
Date of Birth
: __________- ___________-_____________
*
: ________/________/____________
*Mailing Address: _______________________________________________________________________________________________
*City: ____________________________________________________State: ________________Zip: _____________+ ____________
*Physical Address (if different from Mailing): _________________________________________________________________________
E-mail Address: _________________________________________________________________________________________________
Please check the license(s) you are applying for:
*Hunting License Qualification: Must complete to qualify for a Hunting license:
I have a Hunter Education Certificate – Provide Certificate State and Number: _______________________________________
I have previously been issued a hunting license after the age of 18.
Price
Select below available Veteran Lifetime Licenses:
$ 0.00 FRESHWATER FISHING
(Trout license required in addition to this license if fishing in trout stocked waters)
$ 0.00 *HUNTING
(See above qualification requirements)
$15.00 TRAPPING
$10.00 SALTWATER FISHING
(If you are 65 and over the price is only $5.00 for the lifetime saltwater license)
$10.00 Upgrade your paper lifetime license to Hard Durable Plastic card w/design
$____.__ Contribute to Hunters for the Hungry:
$ 2.00
$ 5.00
$ 10.00
$ 20.00
$ 50.00
$__________.____
TOTAL AMOUNT DUE
The Resident Disabled Veteran’s Lifetime Hunting License is equivalent to the State Resident Hunting License, and includes
Archery, Muzzleloader and the Bear, Deer and Turkey licenses.
A Trout license, National Forest permit, County Damage Stamp and other licenses or permits are required IN ADDITION TO THIS
LICENSE if you participate in these activities.
A Saltwater Fishing license is NOT required for persons age 65 and older: If 65 or older and do not possess a valid Virginia saltwater
license, a no cost Fisherman Identification Program (FIP) registration is required: Please visit http://www.mrc.virginia.gov.
For further question about the FIP program please call (757) 247-2200.
Applicant’s Certification
By signing this application, I certify that the above information is true and correct and that I have a total and permanent disability that is
service connected as defined by the U.S. Department of Veterans Affairs. Any person who knowingly makes a false statement in order to
secure a license shall be guilty of a Class 2 misdemeanor, punishable by up to six months in jail, a fine of up to $1,000 or both.
Signature
Date
: _____________________________________________________________
: ________________________________
LTL-VET-0818
Page 1 of 2
Instructions:
(Please allow up to 45 days for processing)
Complete all information on this application.
Select the license(s) you wish to purchase.
Verify that you have included copies required documentation from items 1 and 2 on this page.
Sign and date the application.
Include a PERSONAL CHECK, MONEY ORDER or CASHIER’S CHECK made payable to the TREASURER OF
VIRGINIA.
Return this application along with all supporting documents and payment to:
Department of Game and Inland Fisheries
Attention: Lifetime License Sales - Veteran
P.O. Box 2978
Henrico, VA 23228-9700
1) Proof of Residency:
Must submit a photocopy of ONE of these documents.
Required to confirm Virginia residency and the photocopy must be a readable.
Valid Virginia driver’s license
Valid Virginia DMV issued ID card
2) Verification of ‘Total and Permanent’ service-connected disability:
Must submit a copy from one of the options below on required proof of qualification documentation with your
application:
I have included a copy of my Certification of Disability from the U.S. Department of Veterans Affairs which
states that I have a total and permanent disability that is service-connected. (A numeric percentage is not proof of
Total and Permanent disability and is NOT used in establishing your qualification).
OR
If you do not have paperwork stating you are totally and permanently disabled due to a service connected
disability then you can use the “Veterans Certificate of Disability” form. This form can be found on our
website if not included with your application by reprinting the
Virginia Resident Disabled Veteran’s Lifetime License
(Hunting, Freshwater Fishing)
application.
If you do not have documentation you also can visit the Veteran E-Benefits website for information regarding your
account with the U.S. Department of Veterans’ Affairs; from there you can view and print your own
letters/documentation:
http://www.benefits.va.gov/benefits/
Note: The Veterans Affair Identification Card is not an acceptable qualifier for this license.
LTL-VET-0818
Page 2 of 2
D
G
I
F
EPARTMENT OF
AME AND
NLAND
ISHERIES
L
S
I
ICENSE
ALES AND
NFORMATION
P.O. B
2978
OX
H
, VA 23228-9700
ENRICO
866-721-6911
(Hearing impaired call TDD# 804-367-1278)
VETERANS’ CERTIFICATE OF DISABILITY
Purpose: Alternative form to be used by Veterans to certify having a total and permanent disability that is service-
connected in lieu of any previously issued U.S. Department of Veterans’ Affairs document reflecting qualification.
Instructions
Mail this completed form for validation to:
Veterans’ Services Officer
116 N. Jefferson Street
Roanoke, VA. 24016
VETERAN’S INFORMATION
VETERAN’S NAME
:
___________________________________________________________________
MAILING ADDRESS:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
VETERANS’ ADMINISTRATION CLAIM NUMBER
:
_____________________________________
__________________________________________________________________________________________________________________________________________________________________
U.S. DEPARTMENT OF VETERANS AFFAIRS USE ONLY
VETERANS’ ADMINISTRATION USE ONLY
THIS VETERAN IS CERTIFIED AS FOLLOWS UNDER THE PROVISIONS OF VIRGINIA LAW § 29.1-302
The above listed Disabled Veteran is totally and permanently disabled due to a service-connected disability.
YES
NO
PLEASE CHECK BOX:
VETERANS’ SERVICE OFFICER NAME (Please print):
_____________________________________________
V.A.
CERTIFICATION
VETERANS’ SERVICE OFFICER SIGNATURE: ______________________________________________
STAMP
: ___________________________
DATE: __________________
CONTACT PHONE NUMBER
§ 29.1-302. Special license for certain resident disabled veterans
Any resident veteran who is totally and permanently disabled due to a service-connected disability… may apply for
and receive from the Department a nontransferable license, valid for life, permitting the veteran to hunt and fish on
any property in the Commonwealth according to restrictions and regulations of law…
NOTE: PLEASE MAIL THIS COMPLETED FORM BACK TO APPLICANT
CERTVET-0818
Page of 3